IndividualActive
Amanda Williams, MTI
NPI 1245921634 · Massage Therapist · Russellville, AR
Provider details
- NPI number
- 1245921634
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MTI
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4138 (AR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
250 Upper Pine Ridge Rd
Russellville, AR 72802-1689
Phone: (479) 970-4363
Approximate (ZIP-level) locationGet directions
Mailing address
250 Upper Pine Ridge Rd
Russellville, AR 72802-1689
Registry dates
- Enumerated
- 2023-05-16
- Last updated
- 2023-05-16
- Certified
- 2023-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.